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PTA 233 IP/SNF Rehab Refresher Flashcards | StudBud
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PTA 233 IP/SNF Rehab Refresher
PTA 233 IP/SNF Rehab Refresher
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1
Cranial Nerve V
Trochlear
Accessory
Trigeminal
Occulomotor
2
39-year-old man post-op knee surgery 4 weeks ago ready for aerobic conditioning activities. Which is estimated max HR?
165 beats per minute
197 beats per minute
181 beats per minute
210 beats per minute
3
Gait training a patient on a walker with a catheter and IV pole, where is the BEST possible position for the catheter?
Hang the catheter from the lowest level of the walker.
Hang the catheter from the gait belt.
Hold the catheter in your hand
Hang the catheter from the IV pole
4
Sleeves placed on a patient’s legs and attached to an electronic pump that inflates the sleeve are used to prevent what?
Excessive movement of the patients legs
Swelling of the lower extremities
Blood clots in the lower extremities
Hair from growing in the legs of the patient
5
You are testing your patient's eye movements. Which cranial nerves are you testing?
Optic, Olfactory, Facial
Vagus, Hypogolossal, Vestibulocochlear
Oculomotor, Trochlear, Abducens
Optic, Trigeminal, Facial
6
Which of the following blood pressure values indicates that the patient’s exercises should be stopped immediately?
A systolic reading greater than 180 mm Hg
A diastolic reading greater than 115 mm Hg
A 5 mm Hg drop from baseline in the systolic pressure
A failure of the diastolic pressure to increase with increasing workload.
7
Which of the following is true of the use of automated blood pressure monitors?
Finger units are the most accurate method of automated home BP monitoring.
Cuff placement is more critical with the use of automated BP monitors.
Automated monitors are generally less sensitive to changes in body movement
The arm should be placed in the same position as for auscultated monitoring
8
Deconditioned patient w/ CHF receiving 2L O2. You're about to begin ambulation. Which of the following is true?
Maximum oxygen saturation for this patient should be 95%.
fingertip pulse oximeter replaces measuring other physiologic responses.
Measuring O2 sat not necessary while the patient receives supplemental O2.
You will be concerned if the patient’s oxygen saturation drops below 90%.
9
Which is the best way to assess the necessary preparations to provide a safe environment when treating in an IP/SNF?
Bring as additional person to help you assess the situation
Envision what you plan to do so you can prepare before beginning
Ask the nurse to let you know what you should do
Begin the treatment and respond to the environment as problems arise
10
Hospital patient who had surgery yesterday. You want to assess pulse before treatment. What is the
most
accurate method?
Count the pulse for 10 sec and multiply by 6.
Count the pulse for 20 sec and multiply by 3.
Count the pulse for 60 sec.
Count the pulse for 15 sec and multiply by 4.
11
Which action is most likely to result in the inability to detect Korotkoff sounds accurately during
BP
assessment?
The cuff is overinflated.
The cuff is deflated fully before a second attempt.
The cuff is not inflated enough.
The valve is opened too slowly.
12
Which dermatome are you testing when you touch the lateral border of your patient’s foot?
S1
L1
L5
S4
13
Which of the following tasks is MOST important to attend to when you are working with a patient in a cardiac unit?
Monitoring the responses of family members in the room during the treatment
Silencing any audible alarms on the machines and monitors
Keeping closely to your timed treatment schedule
Preventing any lines or tubes from becoming pinched or detached
14
Home health patient: 75-year-old woman who fell and broke her hip. Which of the following is most important to monitor?
Weight
Lung Sounds
Blood Pressure
Pedal Pulse
15
When assessing a patient’s carotid pulse, which of the following would you most likely do?
Palpate both arteries simultaneously for accurate comparison
Use two fingers to palpate just to the side of the larynx
Stand on the opposite side of the artery you are assessing
Palpate one artery with a light, circular massaging motion
16
Joint position test-proprioception measures the individual's ability to perceive which of the following?
The ability to touch the patient’s finger to their nose accurately
The movement of a joint with the vision occluded
The ability to touch the patient’s heel and drag it up the tibial crest
The position of a joint with his/her vision occluded
17
Your new patient had a stroke 6 days ago. Which of the following is the best method to assess their respiration rate?
Count rise and fall of the chest for 30 sec while the patient is unaware.
Assess respiration during the patient’s conversation so they are unaware.
Check the nursing records to determine the patient’s respiration rate.
Ask the patient to refrain from talking so you can count breathing rate.
18
51-year-old woman s/p myocardial infarction 5 weeks ago. Resting HR=78. Begin cardiac rehab. Which is ideal Target HR?
98 beats per minute
78 beats per minute
133 beats per minute
92 beats per minute
19
For some patients, the psychological stresses brought on by the ICU environment can be intense enough to contribute to:
Hypochondria
Long-term dementia
Bipolar disorder
Posttraumatic stress disorder
20
Treatment of a patient with Alzheimer's disease. What should you keep in mind?
All of these are possible
Patient may not be cooperative
Patient may not understand verbal cues
Patient may not remember previous treatment
